MedicaidReimbursementMedium impact
KMAP BULLETIN: UPDATED Medicare Part D Copayment Assistance for Calendar Year 2025
Kansas Medicaid (KanCare)·KS · Pharmacy·Provider Bulletin
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Medicare Part D copayment assistance amounts have been updated for 2025, increasing to up to $12.15 per 30-day supply and up to $36.45 for a 90-day supply. This affects Kansas Medicaid patients with Medicare Part D coverage.
Action Required
Effective January 1, 2025: Billing team must update Medicare Part D copayment assistance calculations to reflect new amounts of up to $12.15 per 30-day supply (maximum $36.45 for 90-day supply) for Kansas Medicaid patients. Monitor the KanCare Open Claims Resolution Log for MCO implementation dates as timing may vary by managed care organization.